Active NPI
Mojca Dusold, LPC
- Professional Counselor
- Bethlehem, PA
National Provider Identifier
1205063609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008445
- Practice address
- 807 W Broad St
Bethlehem, PA 18018-5223 - Phone
- (610) 419-9415
- Fax
- (610) 419-9418
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | PC008445 | PA | Primary |
Addresses
Primary practice location
807 W Broad St
Bethlehem, PA 18018-5223
Mailing address
807 W Broad St
Bethlehem, PA 18018-5223
Phone (610) 419-9415
Other practice location 1
1210 S Cedar Crest Blvd Ste 2700
Allentown, PA 18103-6239
Phone (610) 402-3866
Other names 1
- Mojca Branc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008445 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Resources Counseling Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1205063609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 W BROAD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185223",
"telephone_number": "610-419-9415",
"fax_number": "610-419-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 W BROAD ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185223",
"telephone_number": "610-419-9415",
"fax_number": "610-419-9418"
}
],
"practiceLocations": [
{
"address_1": "1210 S Cedar Crest Blvd Ste 2700",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036239",
"country_code": "US",
"telephone_number": "610-402-3866",
"fax_number": "610-402-3859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUSOLD",
"first_name": "MOJCA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOJCA",
"last_name": "BRANC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.